Wessex Secure Data Environment - Home Part of the NHS Research Secure Data Environment Network NHS

Author: chantal

The NHS Cancer Vaccine Launch Pad (CVLP) is designed to fast-track the development of cancer vaccines, improving patient access to clinical trials of these potentially life-saving treatments. Thousands of patients across England, including those at University Hospital Southampton, are expected to join the trials.

Cancer vaccines aim to teach the body’s immune system to fight cancer and give it an immune “memory” to help prevent the cancer returning, similar to how a flu jab can protect you against the winter flu.

Through the CVLP, people with cancer who are receiving treatment in the NHS, including patients at University Hospital Southampton, can be assessed to see if they might be eligible to join a cancer vaccine clinical trial.

This collaboration, initially with pharmaceutical company BioNTech is a significant step towards realising the potential of these personalised vaccines in cancer treatment, in the hope of transforming patient outcomes in the future.

Dr Victoria Goss, Head of Early Diagnosis and Translational Research at the Southampton Clinical Trials Unit says “The first trial included in the CVLP is only for patients with a particular type of colorectal cancer, as that is what the vaccine is targeting. But as the programme expands, more vaccines targeting other cancer types will be brought on board, giving more patients the opportunity to take part.”

How will the Wessex SDE support the CVLP programme?

The challenge with a national research programme of this size is that we need to manage large amounts of data and share this between hospitals in a very secure way.

As the programme develops and we start to identify patients for more than one trial the SDE will allow us to securely bring together this information in one place.

All of this is powered by NHS data and will use the SDE to unlock the ability of this data to support the development of life-changing new treatments and cancer vaccines and will make the health and social care system more efficient, effective and safe.

For more information on the NHS Cancer Vaccine Launch Pad, visit the CVLP website and watch our explainer video.

 

 

 

Launching publication of her review, Professor Cathie Sudlow stressed the importance of “maximising the benefits to society from the rich abundance of health data in the UK”.

And as NHS England National Director of Transformation, Vin Diwakar, highlighted, the review calls for us to “go further and faster in building and reforming the national health data research service”.

But what does this look like in practice? In this episode, Rebecca Cosgriff, Programme Director for NHS England’s Data for Research and Development Programme, joins Health Innovation East’s Piers Ricketts to talk about how work already under way is unlocking the benefits of health data research for patients and the public.

Rebecca shares insights into:

  • how we’re accelerating access through the NHS Research Secure Data Environment Network
  • practical solutions for the research community’s data needs
  • building infrastructure that already supports 500+ research studies
  • ensuring responsible and secure data use while driving innovation to maximise benefits for patients and the public.

This conversation couldn’t be more relevant as we work to position the UK as a global leader in life sciences through better data access and infrastructure.

You can join the conversation by watching the podcast here.

A copy of the Sudlow Review is available to download from the HDR UK website here

Public Panel Day 1 photo

Our Digital Critical Friends (DCFs) were invited to help in designing and delivering the Public Panel engagement events over the summer. The events were held across the summer with 50 people selected by lottery from across Wessex to consider the question “How do we create a decision-making process for the SDE that is trusted by the people of Wessex?” 

Some of our DCFs explain their involvement in their own words:

Lindsay:

“As a Digital Critical Friend of the Wessex Secure Data Environment, I was invited along to contribute to the Public Panel events. I feel the SDE project has the potential to become a valuable asset for the NHS if it is established in a robust way with wide support from the British public and it is up to us to get involved, give our support and ensure this happens. I feel our opinions and concerns are listened to and the team developing this project genuinely want our input so that the SDE is successfully rolled out.

At one event, I was asked to give a presentation on how and why I got involved as a DCF. I was pleased to share my personal story of how the NHS has saved my life twice in pioneering surgeries after I was born without an oesophagus. Like so many of us, I feel I owe so much to the NHS and passionately believe in protecting its future: I want to do what I can to sustain this wonderful institution and feel a sense of personal satisfaction by contributing to this project.”

Sue:

”I was glad to have the opportunity of attending two of the Public Panel sessions acting as the Administrator at one and as a support Facilitator at the final meeting.

It was a privilege to meet members of the public, face-to-face, and observe the lively debates, enthusiastic engagement and the thoughtful questions being asked by the participants. I learned a great deal by hearing the opinions of the Wessex residents about aspects of the WSDE project first-hand.”

Celia:

“I attended the final Public Panel on 28th September.

My main role as a DCF was to assist the facilitators of two groups at different times during the day, without influencing what was said by the public participants.  It was also a listening role, to help ensure that future reports of the proceedings accurately reflected the views of the participants.

In particular, I helped the facilitator by writing the agreed notes of the group on the board, which left them free to concentrate on the discussion of the various topics with the participants.  At times, I also encouraged participants to repeat or expand on some of their passing comments to ensure they were captured in the notes.

I found the day both interesting and informative.  I could see first hand, the challenge the facilitators sometimes had in encouraging individuals to voice their thoughts.  It was important to convey that the views of each member of the group counted equally and were to be taken into account, and not just the views of those who spoke up readily.  I thought that the voting process at different stages of the day was beneficial, as it encouraged individuals to make their own, independent choices.

The talks throughout the day were also informative, and helped build the vision of the project, for both the DCFs and the public participants.  This reinforced my belief in the importance of the project, with its great potential to help patients, the public in general and the NHS.

I also took part in the face to face planning and preparation meeting on 10th July, before the first Public Panel.  This included hearing the two DCF speakers, and we were able to give really positive feedback on how well the talks came over.  It was good to see the plans in action on the 28th September.”

Marcus:

“I attended the last day of the public engagement process on 28th September 2024 as a Critical Friend.  I was essentially an observer so I did not participate in the engagement itself, but rather oversaw proceedings and discussed them with participants in order to satisfy myself that the process itself was properly applied and that what was recorded accurately reflected the outcomes which emerged.

I was impressed with the quality of engagement and the level of detail that members of the public clearly had of what they were examining and considering.  They were not deterred from raising issues they felt needed to be challenged or explored which was very reassuring.  They were, however, asked to examine specific concepts rather than raising a wider, more abstract way range of issues.  I came away from the day very satisfied that members of the public had been provided with a very real opportunity to be involved in the project and its development.”

Our DCFs tell us a little more about themselves, why they were interested in getting involved and their experiences so far with the Wessex SDE.

Lakshmi:

“My name is Lakshmi Kulkarni and I am part of the Basingstoke Hindu Society and volunteer with them for various projects.

Most people in our community are very wary about giving any data out especially if it is health data. My motivation to become DCF stemmed from this as hopefully listening about the SDE from a known face or someone similar to them, they could be more accepting of the idea of the Wessex SDE. I am running various health awareness sessions for the community over the next few months and will cover all age groups and will talk to them about the need and benefits of having the SDE. I will hopefully be able to explain it to them in their language as I can speak 4 different Indian languages.

The training has helped me understand the need for the SDE and I will be able to relay this to the community and also collate feedback from them as they are the lesser heard members of our society.”

Andy:

“I have worked with, and in, IT for too many years and more recently have been closely involved with information security, particularly as it has developed into cyber security.  As a result, when I received an invitation to consider joining this programme as a digital critical friend, I thought it might be interesting, stimulating and, most importantly, helpful to the programme to share my experience and knowledge.  Representing the ordinary people, whose very personal medical information would form the basis of the system, also inspired me so that I could gain answers to all those questions anyone would ask when faced with a development such as this.

I was delighted to be offered the opportunity to join the programme, and subsequently joined the required training sessions to see what was required, and to learn new stuff!  The online training answered virtually all my questions, but there was always the opportunity to submit additional questions which were answered comprehensively and quickly.  Carried out in a very friendly and encouraging atmosphere, the training updated some of my knowledge, told me more about things about which I already had a little knowledge, and introduced me to new specialisms such as those in medical research.

I was asked to talk to other members of the public and to help them to understand and make the most of the contribution they were making to the programme.  I have offered to get more involved with one of the working groups that look at the more specialist areas of the programme and that will increase my contribution a little more. The commitment overall is exactly as promised with the option to give more time to the programme if so desired, particularly spreading the word about the programme and the huge benefits that should accrue from it in the years to come.”

Sandra:

“Research has shown that since the Covid Pandemic, there was not enough data collected from ethnic minority groups. Some of these barriers are because of a lack of awareness. I would like to encourage more people from ethnic origins to get involved in research to change this status. I believe that Research is important to promote better health for the future.”

Ewa:

“As both a patient and a retired scientist with a background in clinical research, I was immediately drawn to this project. The NHS data is uniquely extensive, and enabling safe, efficient access to it is a challenging yet vital undertaking. One of the biggest challenges is fostering public confidence in the security of their data, and I believe the DCF initiative can help address this by promoting greater transparency and openness in the process.

The opportunity to represent the voice of the public and patients from the very beginning has been invaluable. Personally, I was impressed by how the project’s management welcomed us as equal partners. There was openness on both sides, and our questions and concerns were met with genuine respect.

Thank you again for including us in such a meaningful way.”

 

The Wessex Secure Data Environment is committed to co-designing and developing our SDE with patients and the public at its heart. In March 2024 we worked with the South West SDE to design and deliver a process to onboard and train members of the public to act as ‘Digital Critical Friends’.

….

What is a DCF?

A Digital Critical Friend (DCF) is a trained member of the public who helps with digital health and research. They support the SDE programme by:

  • Joining SDE boards
  • Helping design the PPIE programme
  • Taking part in the Data Access Committee

DCFs make sure that the views of people in Wessex are considered in decisions and policies. They bring in community insights, ensuring the process is inclusive and transparent.

….

Objectives of DCF recruitment 

A successful DCF recruitment should bring in about 16-20 diverse and representative members. After that, there will be regular meetings to discuss key issues and communication strategies.

The 16-20 target is flexible but was suggested because:

  • It ensures enough people for a diverse group.
  • It allows for varying levels of participation, attendance, and possible dropouts.
  • Meetings can include smaller breakout groups to keep discussions manageable, with around 4-8 people per session.

We plan to start recruiting DCFs from under-represented communities in Wessex, who we are already working with as part of our Seldom Heard Groups work, as well as through current Public, Patient, Involvement and Engagement networks of the two participating Integrated Care Boards.

….

Outcomes of the DCF recruitment

We are immensely proud of the outcomes of our DCF recruitment process, attracting over 60 applications. From this list we interviewed 41 people and selected 14. We also completed a second round of targeted recruitments to increase our objectives of diversity, inclusion and age ranges, to reach a total of 17.

….

DCF training 

After recruiting our DCFs, they completed three online training sessions, each lasting three hours.

These sessions, created with help from the South West SDE, were designed to introduce key topics, including:

  • How NHS data is used in research
  • Critical thinking skills
  • An in-depth look at the SDE’s purpose and how DCFs contribute

 

Hands of a group of people

The views and involvement of patients and the wider public will be vital to the development of the Wessex Secure Data Environment (SDE). We will be speaking to people across Wessex about the project, to make sure that everything from data access to our research priorities are in line with local expectations. 

An early initiative has been to prioritise hearing from groups of people who are often less heard or visible in ‘public and patient involvement and engagement’ (PPIE).  

Working with existing community organisations, charities and faith groups, we have visited and met with over 500 people in 30 grassroots groups representing ‘seldom-heard’ communities across Hampshire, the Isle of Wight and Dorset. 

The ‘seldom heard’ groups we have spoken to include carers, people living with long-term and/or complex conditions, people with a history of substance abuse, people in economic disadvantage, settled travellers, veterans, disabled people, older people and young people. 

We are currently compiling a report that will capture the key themes from these conversations – what people and communities from these groups thought about the idea of the SDE. These conversations will help us develop recommendations and principles for how we shape our PPIE work, communications and project roll-out activities in the future. 

A summary of the report will be shared directly with the groups we’ve spoken to. This will also be made available to all, along with a link to the full report, published on our website in due course. 

To find out more about how you can help shape the development of the SDE in the future, please visit our Get involved page.

Researcher looking at computer

One year on: The latest on our Secure Data Environment

In January 2023, Michael Chapman blogged about NHS England’s ambitious plans for the NHS Research  Secure Data Environment (SDE) Network, starting with migrating customers to the service, testing its capabilities and processes, and then scaling up the service to handle wider use.

Liz Gaffney, Head of NHS England’s Secure Data Environment, reflects on the developments of the service one year on in her blog on NHS England’s website.